| Date of birth: | May 5, 1958 |
| Hair: | Gray |
| Eyes: | Brown |
| Description: | MISSING BODY PARTS AND ORGANS MISSING BIG TOE AND SECOND TOE ON RIGHT FOOT |
| Description: | SCAR ON CHIN SC R SHIN - SURGICAL |
| Description: | SCAR ON ARM, RIGHT SC R ARM |
| Booking location: | Weber County, UT |